Last Updated on October 26, 2023 by Shabnam Sengupta
Many women, especially those of reproductive age, deal with prevalent endocrine conditions. These include polycystic ovary syndrome (PCOS) and polycystic ovary disease (PCOD). The use of birth control pills is one of the options for managing PCOS and PCOD symptoms. Hence, this article will examine the distinctions between PCOS and PCOD, birth control pills that are appropriate for both conditions and their respective care.
What precisely is PCOS? How does it differ from PCOD?
Polycystic Ovary Syndrome (PCOS) and Polycystic Ovary Disease (PCOD) are prevalent endocrine disorders. These affect a considerable number of women in their reproductive years. While they share some similarities, it is important to note that they are not identical conditions.
Polycystic Ovary Syndrome is a complex endocrine disorder. It is characterized by enlarged and dysfunctional ovaries, elevated levels of androgens (male hormones), and insulin resistance. It is a global health concern that primarily affects women of reproductive age. On the other hand, in polycystic ovary disease (PCOD), which people often use interchangeably with PCOS, there are symptoms like irregular menstrual periods, hyperandrogenism, and the presence of polycystic ovaries. It is also a hormonal disorder that primarily affects women.
While PCOS and PCOD share common features, PCOS is a more intricate condition that involves metabolic factors and a wider range of symptoms. PCOD, on the other hand, is a subset of PCOS that primarily focuses on ovarian and menstrual irregularities. PCOS encompasses a broader range of symptoms and metabolic disturbances. These primarily include insulin resistance, obesity, and an increased risk of cardiovascular disease. Doctors diagnose PCOS using the Rotterdam criteria or the Androgen Excess Society criteria. In contrast, they primarily diagnose PCOD on the basis of its symptoms, which makes it relatively easier to identify.
Is it possible to take birth control pills if diagnosed with PCOS or PCOD?
Yes, birth control pills are a viable option for women with PCOS. Hormonal contraception can have several positive effects, including improving quality of life, regulating menstrual function, and addressing hormonal imbalances. Additionally, birth control pills offer non-contraceptive benefits that can help manage the symptoms associated with PCOS. However, it is important to consult with a healthcare provider to determine the most suitable option based on individual needs and health considerations.
These hormonal preparations include combination birth control pills, which contain both estrogen and progesterone. Doctors commonly prescribe them to women with PCOS to help regulate hormones, reduce androgen production, and manage symptoms such as irregular bleeding, excess hair growth, and acne. By regulating hormones, these pills can also lower the risk of endometrial cancer. This is because it is a concern for women with PCOS. In cases where abnormal menstruation is the only symptom without any androgenic symptoms of PCOS, a healthcare provider may suggest a progestin-only contraceptive as an alternative.
It is important to consult with healthcare providers to determine the most suitable contraceptive method for women diagnosed with PCOS or PCOD. When deciding on the use of birth control pills for PCOS, it is important to consider individual health factors and any contraindications. Certain conditions like diabetes, high blood pressure, heart conditions, and habits like prolonged smoking may prevent the use of birth control pills. In such cases, one may require alternative approaches to contraception.
How might PCOS and PCOD be managed?
Polycystic Ovary Syndrome, or Polycystic Ovary Disease, requires a multifaceted approach guided by healthcare professionals. This approach includes lifestyle modifications. These alterations might involve weight management, a balanced diet, exercise, and stress reduction techniques, as the initial strategy. Hormonal contraceptives, such as combined oral contraceptives (COCs), may be considered to regulate menstrual cycles and reduce androgen levels. Specific symptoms, like excess hair growth (hirsutism), can be managed with medications or hair removal methods. In addition, irregular menstrual cycles cou be regulated with hormonal therapies. For women with PCOS who aim to conceive, fertility management strategies, including ovulation-inducing medications and assisted reproductive techniques, may be employed to enhance their overall quality of life.
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